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肝素类抗凝药不合理医嘱的帕累托分析

Pareto Analysis of Unreasonable Prescriptions for Heparin Anticoagulants

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目的 通过帕累托分析我院肝素类抗凝药不合理医嘱的主要因素,为肝素类抗凝药的合理使用提供参考.方法 收集2023年度我院住院肝素类抗凝药的不合理医嘱资料进行回顾性分析,通过帕累托图法分析不合理用药医嘱的主要因素、次要因素及一般因素.结果 11598份医嘱中分析出4种不合理医嘱类型,其中适应症不适宜(累积构成比为54.44%)为主要因素;按药物类别分类共4种,依诺肝素不合理医嘱(累积构成比为45.58%)为主要因素、肝素钠注射液不合理医嘱(累积构成比为85.54%)为次要因素.结论 应用帕累特图分析可以方便,快速的甄别出不合理用药医嘱的主要因素主要因素、次要因素为合理用药及医嘱干预提供依据.
OBJECTIVE To analyze the main factors of unreasonable prescriptions for heparin anticoagulants in our hospital using Pareto analysis and provide references for rational use of heparin anticoagulants.METHODS Da-ta on unreasonable prescriptions for inpatient heparin anticoagulants in our hospital in 2023 were collected for retro-spective analysis.The main factors,secondary factors,and general factors of unreasonable medication prescriptions were analyzed using the Pareto chart method.RESULTS Among 11,598 prescriptions,four types of unreasonable prescriptions were identified.Inappropriate indications(with a cumulative proportion of 54.44%)were the main fac-tor;among different drug categories,enoxaparin had the highest rate of unreasonable prescriptions(with a cumulative proportion of 45.58%)as the main factor,followed by heparin sodium injection(with a cumulative proportion of 85.54%)as the secondary factor.CONCLUSION Applying Pareto chart analysis can conveniently and quickly i-dentify the main and secondary factors of unreasonable medication prescriptions,providing a basis for rational drug use and medical intervention.

Heparin AnticoagulantsUnreasonable PrescriptionsPareto AnalysisRational Medication Use

余知妍、陈少壮、曹畅、王伟萍

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复旦大学附属中山医院厦门医院,福建厦门 361015

肝素类抗凝药 不合理医嘱 帕累托分析 合理用药

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(11)